Dr Bird Flashcards
How do most tumours develop?
Develop in epithelium, then metastasise into the mesenchyme and then into the muscle
What are the properties of benign tumours?
- Develop in any tissue
- Grow locally
- May cause problems by pressure on brain or colon obstruction
- Histologically resemble the tissue of origin
- Do not spread to distant sites
What are the properties of in situ tumours?
- Usually develop in the epithelium
- Have altered histological appearance
- Variations in cell size and shape
- Do not invade basement membrane and supporting mesenchyme
What are the properties of cancers?
- Fully developed malignant tumours with the specific capacity to invade and destroy the underlying mesenchyme
- Metastasise
- Stimulate angiogenesis and development of blood supply
What does the ability to metastasise mean?
Can spread to other tissues
What are the exogenous agents that can cause mutations in DNA?
- Ionising radiation
- UV radiation
- Chemical carcinogens
- Viruses
What are the endogenous agents that can cause mutations in DNA?
- Errors in DNA replication
- Intrinsic instability
- Attack by free radicals
What is a transient mutation?
A mutation in DNA that can be repaired
How do tumours arise from mutations in DNA?
Permanent mutation occurs and cell division causes a tumour
What are the two broad classes of genes involved in the onset of cancer?
Proto-oncogenes and tumour suppressor genes
How are proto-oncogenes involved in the onset of cancer?
Excessively active in growth promotion
How are tumour suppressor genes?
Normally restrain cell growth but damage to these genes allows inappropriate growth
What is the effect of a point mutation?
Amino acid substitution
What is the effect of a frameshift mutation?
Scrambled sequence and truncated protein
What is the effect of a inappropriate expression or amplification mutation?
Normal protein at the wrong time or too much produced